Sun damage, brown spots, or broken blood vessels? Find out how to fix discolored hands.
In our first two installments of the hand rejuvenation series, we talked about how the hand ages and ways to address volume loss. Now that you know all your options for contour corrections, our last installment will feature three different ways to treat color and texture problems.
If you have the face of a woman half your age, the last thing you want are hands covered in brown spots, red spots, or flakey textured skin that give away your age. Our team of hand rejuvenation experts have differing opinions about which is the best method to treat color and texture, so scroll down to see which doctor recommended treatment best fits your hand needs.
When it comes to color, generally speaking we’ll use IPL (57% Worth It rating ) to get the browns and reds out. Sometimes we’ll use the Fraxel laser (57% Worth It rating) which we also use for texture, and sometimes we use the Pearl laser (52% Worth It rating), but generally speaking IPL.
For texture we’ll use the Fraxel laser or a combination of the IPL Limelight with the Pearl laser. The Fraxel is a gentle laser that lifts the color from deeper skin and causes a gentle resurfacing of the skin and the hand. It causes tightening, thickening, and eradication of color. But IPL can be tuned for the colors you need, which is why a lot of times we use the limelight IPL and adding that to the Pearl is an excellent way to go when you have color and texture issues. If it’s just color I’ll hit it with IPL 2 or 3 times, if it’s mainly a texture issue and some color I’ll use the Fraxel. — Dr. Grant Stevens
Watch Before and Afters of Dr. Grant’s hand rejuvenation below:
Injections take care of adding volume and hiding the blood vessels, but what it doesn’t treat is the discoloration, the dryness, the scaling or the liver spots. So that has to be treated separately. A lot of things have been tried. All kinds of lasers, including more recently the Fraxel laser and microdermabrasion on the hand. I don’t find those personally to be the best treatments. I find so many patients coming to me after they failed with a series of Fraxel treatments and they are tired of spending a lot of money for something that is giving them marginal or neglible results.
One technique that works more consistently is a series of superficial chemical peels, in 4 week intervals to even out the moderate discoloration of the hands and fade the brown spots. For more pronounced brown spots I suggest what is called the punctuated phenyl peel. The concept behind the peel is that by making minute areas of tissue injury but leaving intervening areas of non-treated skin, which uses the that the non-treated skin will speed the healing of the treated skin and also diminish the risk of scaring.
So if you have a half inch brown spot, instead of painting the whole area with 88% phenyl which can lead to scarring, what you do is with the microtip of a pin or toothpick is place in a grid like fashion these tiny droplets of phenyl leaving intervening spaces of normal tissue. Around the dark spot you can do a superficial peel. You do this in a series of treatments, usually 4-6 week intervals in between, coupled with home use of lightening agents and the end result is the evening out of the pigmentation so that the surface of the hand looks as good as the volume you injected in it. — Dr. Nelson Novick
The second approach which I also find much more successful than Fraxel lasers is to use medical micro-needling. Medical micro-needling is a technique that can be done manually with a dermaroller, something like a small rolling pin with 200 needles on it, or electrically with a dermapen a device that contains 11 needles but goes over the skin very quickly, puncturing it in a grid like fashion, making micro areas of injury with intervening areas of normal skin. Going over the skin in this rolling fashion will make micro perforations through the discolored areas, setting up mini areas of wound healing that heal with more normal collagen and elastic fibers. Because those needles have already punctured the areas of hyper pigmentation, or discoloration, it can be used to treat hyper pigmentation as well as what you see often on the back of the hands which is hypo pigmentation (droplet like areas of skin with loss of pigmentation from sun damage). — Dr. Nelson Novick
Click here to read The Guide To Younger Looking Hands Part 2: Filler Vs. Fat Grafting
Want more How To’s? Check them out below!
The Guide To Younger Looking Hands Part 1: Evaluate Your Needs
The Guide To Younger Looking Hands Part 2: Filler Vs. Fat Grafting
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